NPI age
18 years
Enumerated 2007-11-16
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8EJ261 | BCBSTX |
| 01 (TX) | P01414237 | RR MEDICARE |
| 05 (TX) | 192305404 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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